Selected Document Group Id <input type="text" name="option_selected_doc_gid" id="selectedRow" size="3" value="1" />
 Auto Toggle ? <input type="radio" name="option_auto_toggle" value="1" checked /> Yes
 <input type="radio" name="option_auto_toggle" value="0" /> No
<script type="text/javascript">
$(document).ready(function(){
    $('#component_theme_name').attr('disabled','disabled');
});
</script>
<input type="hidden" name="component_theme_name" value="N/A" />